Talk:Senile osteoporosis

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 29 June 2020 and 21 August 2020. Further details are available on the course page. Student editor(s): S. Chu Future UCSF PharmD, AHassani, PharmD Cand, J. fong, future UCSF PharmD, R. Diaz, Future UCSF PharmD.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 03:26, 18 January 2022 (UTC)

Foundations II 2020 Group [27] Proposed Edits

As a group, we plan on adding more thorough information and citations to the "Causes", "Diagnosis", and "Treatment" sections of the article as well as add another section for "Complications".

Overview: Senile (involutionary) is a type of primary osteoporosis (type II) which affects men and women equally over the age of 70 years and is accompanied by vitamin D deficiency, body's failure to absorb calcium, and increased parathyroid hormone. [PMID: 28124937 and PMID: 9431639]

Diagnosis: Unfortunately, the diagnosis of osteoporosis is made only after a pathologic fracture has occurred. Therefore, it is best to take serial bone density measurement scans for high risk patients. [PMID: 9431639]

Treatment: Calcium and Vitamin D3 intake from diet or supplementation are crucial in the ethiopathogenesis of this disease; therefore, the effective treatment should comprise of non pharmacological methods (such as a modified diet with more calcium and vitamin D3. exercising, smoking cessation, and alcohol restriction), fall prevention, and individually chosen pharmacological intervention (such as estrogen replacement therapy). [PMID: 19562973] Given bone fracture (hip, vertebrae, and colles) is a devastating complication of osteoporosis, Vit D3 combined with calcium are used as primary prevention, along with alendronate, residronate, strontrium and zoledronic acid which have proven efficacy in primary and secondary hip fracture prevention.[PMID: 19277006]

AHassani, PharmD Cand (talk) 20:52, 28 July 2020 (UTC)AHassani, PharmD Candidate; July 28, 2020

Foundations II 2020 Group [27] Proposed Edits

I propose these edits to the Treatment section:

• Looking for further information on nutritional zinc and vitamin levels with it
• Looking for information on current guidelines and treatment of estrogen in relation to osteoporosis. [PMID: 22877425]

R. Diaz, Future UCSF PharmD (talk) 17:47, 30 July 2020 (UTC)

Foundations II 2020 Group [28] Proposed Edits

The group’s edits followed the guiding framework, and included clear structure and organization that outlined what the disease was, the risk factors, diagnosis, treatment options, as well as prevention. The addition of the prevention section substantially improved the article, as prevention is key with the treatment of this disease. This section can be moved up in priority (instead of the end of the article) due to its importance in treatment. The group also did a very good job keeping the article neutral and provided factual information. In terms of material, the sections are all relatively balanced and covered similar amounts of information. For improvement, the group should include more hyperlinks for medical jargon, such as primary osteoporosis, osteopenia, bone remodeling, and the medications used in the treatment section. The group also should define more clearly the difference between types of osteoporosis (primary vs secondary) as well as Type I vs Type II Osteoporosis in the beginning of the article. In addition, there are some grammatical errors that need to be revised, some included here: “There are various medications can that interfere….NSAIDs”, “The World Health Organization (WHO) has established a diagnostic criteria for osteoporosis using BMD T-scores…. which differs from the mean peak value in young…. Osteoporosis”.

Kkellohen (talk) 21:47, 3 August 2020 (UTC)

Overall this group did a great job citing credible articles from journals and peer reviewed articles about Senile Osteoperosis; however, under discription section there was a sentence which was cited improperly. “Elderly people are the fastest growing population in the world and, as people age, bone mass declines and the risk of fractures increases”. Wording was off. Cited from AJOG. Also definition stated that “Senile (involutionary) is a type of primary osteoporosis (type II) which affects men and women equally; however under genetics it states that gender plays a role in contributing to hte risk of osteoporosis. Amanukyan UCSF (talk) 21:51, 3 August 2020 (UTC)

The team did a good job adding thorough information about Senile Osteoperosis disease, complications, and risk factors, while providing credible sources, such as the American Physical Therapy Association. However, some sections were not supported by the sources or the citations, such as the Pharmacological Section in Risk Factors. In addition, the study that was mentioned to support the effect of using monoclonal antibody on the outcome of hip fractures occurrence, was a randomized controlled study. Wikipedia guidelines, WP:MEDRS, advise against using primary literature, where preferred sources would be from a secondary or tertiary literature. Mkardouh (talk) 21:55, 3 August 2020 (UTC)

Group 27 began with a start-class article. Information added to the article included expanding on risk factors, complications, causes, diagnosis and treatment. Each of the edits was well formatted, with an appropriate amount of information contained in each section. Some headers should be revised to be in sentence case. Edits have also been added in neutral language. One of the weaknesses of the initial article was a lack of inline citations. Although appropriately added at this point, more citations may be added to further improve the quality of the article. Primary sources scientific sources should be avoided (randomized, cohort) and instead systematic reviews/meta-analyses should be prioritized. Regarding article content, the diagnosis section can be revised to include more information, specifically explaining how bone mineral density t scores are obtained and providing reference values. More information may also be added regarding DXA (i.e. why it is a preferred method for diagnosis, how are the results used to diagnose). It should also be emphasized that secondary osteoporosis should be considered as a separate disease state versus senile osteoporosis (which is primary). Adjlopez (talk) 22:32, 3 August 2020 (UTC)